Active NPI
Amanda Isabel Guardia, DPT, PT
- Physical Therapist
- Davie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39750
- Practice address
- 10650 W State Road 84 Ste 111
Davie, FL 33324-4235 - Phone
- (956) 878-8357
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39750 | FL | Primary |
Addresses
Primary practice location
10650 W State Road 84 Ste 111
Davie, FL 33324-4235
Mailing address
8900 NW 97TH Ave Apt 208
Doral, FL 33178-2766
Phone (956) 878-8357
Other practice location 1
454 N University Dr
Pembroke Pines, FL 33024-6720
Phone (954) 443-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39750 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Rehabilitation Center | Current | Accepting new patients | |
| Atlantic Rehabilitation Center | Current | Accepting new patients |
Locations
16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400
11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611
17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- Davie, FL
- NPI 1003973967
-
- Rehabilitation Practitioner
- Aventura, FL
- NPI 1366509200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1093421539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 NW 97TH AVE APT 208",
"city": "DORAL",
"state": "FL",
"postal_code": "331782766",
"telephone_number": "956-878-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10650 W STATE ROAD 84 STE 111",
"city": "DAVIE",
"state": "FL",
"postal_code": "333244235",
"telephone_number": "956-878-8357"
}
],
"practiceLocations": [
{
"address_1": "454 N University Dr",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330246720",
"country_code": "US",
"telephone_number": "954-443-1926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUARDIA",
"first_name": "AMANDA",
"middle_name": "ISABEL",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "39750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.